Prevalence and Prevention of Contact Dermatitis Caused by FreeStyle Libre: A Monocentric Experience.

Abstract

OBJECTIVE:

Cutaneous adverse events (CAE) from FreeStyle Libre include allergic contact dermatitis (ACD) caused by the allergen isobornyl acrylate (IBOA). We aim to report CAE from this glucose sensor, ACD to IBOA in particular, and the outcome of using barrier films as a prevention.

RESEARCH DESIGN AND METHODS:

A monocentric, retrospective review of medical files from adult and pediatric patients with diabetes using Freestyle Libre, in the period between December 2016 and April 2019, was performed with a focus on CAE.

RESULTS:

Fifty-seven of 1,036 patients with diabetes (5.5%) were referred to our dermatology department because of CAE from FreeStyle Libre. Thirty-nine of 1,036 (3.8%) had ACD due to IBOA. Only two patients, of whom one sensitized to IBOA, had a benefit from using barrier films.

CONCLUSIONS:

CAE occurred in 5.5% of FreeStyle Libre users, and 3.8% suffered from ACD due to IBOA. Barrier films had limited value in the prevention.

• Authors: Jeroen Pyl, Ella Dendooven, Ine Van Eekelen, Marieke den Brinker, Hilde Dotremont, Annick France, Kenn Foubert, Luc Pieters, Julien Lambert, Christophe De Block, Olivier Aerts
• Journal: Diabetes care (Diabetes Care) Vol. 43 Issue 4 Pg. 918-920 (04 2020) ISSN: 1935-5548 [Electronic] United States
• PMID: 32054722 (Publication Type: Journal Article)
• Copyright: © 2020 by the American Diabetes Association.

Chemical References

• Acrylates
• Blood Glucose
• Camphanes
• Insulin
• isobornyl acrylate

Topics

• Acrylates (chemistry, immunology)
• Adolescent
• Adult
• Blood Glucose (analysis)
• Blood Glucose Self-Monitoring (adverse effects, instrumentation)
• Camphanes (chemistry, immunology)
• Child
• Dermatitis, Allergic Contact (blood, epidemiology, etiology, prevention & control)
• Diabetes Mellitus (blood, drug therapy, epidemiology)
• Equipment and Supplies (adverse effects)
• Female
• Humans
• Insulin (administration & dosage)
• Insulin Infusion Systems (adverse effects)
• Male
• Middle Aged
• Prevalence
• Retrospective Studies
• Young Adult